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Two minutes of your time

We’d be incredibly grateful if you could spare two minutes of your time to complete this survey.


We know from experience being diagnosed with brain cancer can feel isolating. We want to build a clearer picture of where you are based - whether patients, families, or loved ones - to show that, wherever you are, you are not alone.


A small warning before you begin: this is a very quick dive into your own experience, and we know that answering even a few simple questions can sometimes feel unexpectedly difficult. So please only take part if and when you feel comfortable. There are no right or wrong answers, and you can stop at any time.


Every response helps us build the picture. And every pin on the map represents a real person, a real family and a life affected by brain cancer.


Thank you for being part of it. 


Finally, all responses are anonymous, and results will only by reported in aggregate. This research is conducted by True North Research, an independent market research firm. To learn more head here.

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1.
Do any of these apply to you? Tick all that apply[Checkboxes]
I have a low-grade brain tumour
I have high-grade brain tumour
A member of my family has brain cancer/tumour 
A member of my family has died because of a brain cancer/tumour 
More than one member of my family has / has died because of brain cancer/tumour 
I know someone who lives locally (within 5 miles) who has or has died because of brain cancer/tumour 
I know more than one person who lives locally (within 5 miles) who has or has died because of brain cancer/tumour 
Someone I work with has or has died because of a brain cancer/tumour
More than one person I work with has or has died because of brain cancer/tumour
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2.
How many people do you personally know who are living with brain cancer or an incurable brain tumour?
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3.
How many people do you personally know who have died of brain cancer or a brain tumour?
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4.
What industry or sector does/did the person affected by brain cancer/tumour mainly work in? (select the closest match)
If you're answering on behalf of someone else please answer for them, not yourself.
You can tick multiple boxes if you know more than one person with brain cancer.
[Checkboxes]
Armed Forces / Military
Aviation (pilot, cabin crew, ground crew, aerospace)
Emergency services (police, fire, ambulance)
Healthcare / Medical
Agriculture / Farming
Oil, Gas & Petrochemical
Manufacturing / Engineering
Energy / Utilities (incl. nuclear)
Construction
Telecommunications / IT
Education 
Office-based / Administrative
Retail / Hospitality 
Not in paid employment 
Retired
Student 
Child
Other (please specify)
Prefer not to say
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5.
Please share the age of the person affected by brain cancer/tumours:
If it is you with brain cancer, share your age, if it is someone else, please share the age of the person with brain cancer who you are closest to.
Under 16
16-19
20~24
25~29
30~39
40~49
50~59
60 and over
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6.
Please share the location of the person affected by brain cancer/tumours:
If it is you with brain cancer, share your location, if it is someone else, please share their location.
ZIP/Postal code:
ZIP/Postal code:
Country and Region:
Country and Region:
7.

If there is anything else you would like to share about your answers please provide them here.

8.

If you are happy to be contacted about your responses, please leave your name here.

Please be assured your name will only be shared within the Brain Cancer Justice team.

9.
And your phone number here.
Again this will only be shared within the Brain Cancer Justice team.
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